World Journal of Emergency Surgery (Sep 2021)

WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections

  • Massimo Sartelli,
  • Federico Coccolini,
  • Yoram Kluger,
  • Ervis Agastra,
  • Fikri M. Abu-Zidan,
  • Ashraf El Sayed Abbas,
  • Luca Ansaloni,
  • Abdulrashid Kayode Adesunkanmi,
  • Boyko Atanasov,
  • Goran Augustin,
  • Miklosh Bala,
  • Oussama Baraket,
  • Suman Baral,
  • Walter L. Biffl,
  • Marja A. Boermeester,
  • Marco Ceresoli,
  • Elisabetta Cerutti,
  • Osvaldo Chiara,
  • Enrico Cicuttin,
  • Massimo Chiarugi,
  • Raul Coimbra,
  • Elif Colak,
  • Daniela Corsi,
  • Francesco Cortese,
  • Yunfeng Cui,
  • Dimitris Damaskos,
  • Nicola de’ Angelis,
  • Samir Delibegovic,
  • Zaza Demetrashvili,
  • Belinda De Simone,
  • Stijn W. de Jonge,
  • Sameer Dhingra,
  • Stefano Di Bella,
  • Francesco Di Marzo,
  • Salomone Di Saverio,
  • Agron Dogjani,
  • Therese M. Duane,
  • Mushira Abdulaziz Enani,
  • Paola Fugazzola,
  • Joseph M. Galante,
  • Mahir Gachabayov,
  • Wagih Ghnnam,
  • George Gkiokas,
  • Carlos Augusto Gomes,
  • Ewen A. Griffiths,
  • Timothy C. Hardcastle,
  • Andreas Hecker,
  • Torsten Herzog,
  • Syed Mohammad Umar Kabir,
  • Aleksandar Karamarkovic,
  • Vladimir Khokha,
  • Peter K. Kim,
  • Jae Il Kim,
  • Andrew W. Kirkpatrick,
  • Victor Kong,
  • Renol M. Koshy,
  • Igor A. Kryvoruchko,
  • Kenji Inaba,
  • Arda Isik,
  • Katia Iskandar,
  • Rao Ivatury,
  • Francesco M. Labricciosa,
  • Yeong Yeh Lee,
  • Ari Leppäniemi,
  • Andrey Litvin,
  • Davide Luppi,
  • Gustavo M. Machain,
  • Ronald V. Maier,
  • Athanasios Marinis,
  • Cristina Marmorale,
  • Sanjay Marwah,
  • Cristian Mesina,
  • Ernest E. Moore,
  • Frederick A. Moore,
  • Ionut Negoi,
  • Iyiade Olaoye,
  • Carlos A. Ordoñez,
  • Mouaqit Ouadii,
  • Andrew B. Peitzman,
  • Gennaro Perrone,
  • Manos Pikoulis,
  • Tadeja Pintar,
  • Giuseppe Pipitone,
  • Mauro Podda,
  • Kemal Raşa,
  • Julival Ribeiro,
  • Gabriel Rodrigues,
  • Ines Rubio-Perez,
  • Ibrahima Sall,
  • Norio Sato,
  • Robert G. Sawyer,
  • Helmut Segovia Lohse,
  • Gabriele Sganga,
  • Vishal G. Shelat,
  • Ian Stephens,
  • Michael Sugrue,
  • Antonio Tarasconi,
  • Joel Noutakdie Tochie,
  • Matti Tolonen,
  • Gia Tomadze,
  • Jan Ulrych,
  • Andras Vereczkei,
  • Bruno Viaggi,
  • Chiara Gurioli,
  • Claudio Casella,
  • Leonardo Pagani,
  • Gian Luca Baiocchi,
  • Fausto Catena

DOI
https://doi.org/10.1186/s13017-021-00387-8
Journal volume & issue
Vol. 16, no. 1
pp. 1 – 48

Abstract

Read online

Abstract Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs include early recognition, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using a critical care environment, combined with an optimal surgical approach. Together, the World Society of Emergency Surgery (WSES), the Global Alliance for Infections in Surgery (GAIS), the Surgical Infection Society-Europe (SIS-E), the World Surgical Infection Society (WSIS), and the American Association for the Surgery of Trauma (AAST) have jointly completed an international multi-society document in order to facilitate clinical management of patients with IAIs worldwide building evidence-based clinical pathways for the most common IAIs. An extensive non-systematic review was conducted using the PubMed and MEDLINE databases, limited to the English language. The resulting information was shared by an international task force from 46 countries with different clinical backgrounds. The aim of the document is to promote global standards of care in IAIs providing guidance to clinicians by describing reasonable approaches to the management of IAIs.

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